HomeMy WebLinkAboutCAROLLO ENGINEERS - INSURANCE CERTIFICATE (3)ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE8/07 YY)
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PRODUCER 1-949-729-0777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Rilb Rogal a Hobbs ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Professional Practice Insurance Brokers, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2030 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 350
Irvine, CA 92614 INSURERS AFFORDING COVERAGE
Sandi Moreno
INSURED INSURERA:ACE American Insurance Company
Carollo Engineers P.C.
Risk Management Office INSURER B:
10540 TALBERT AVENUE, SUITE 200 EAST INSURER C:
FOUNTAIN VALLEY, CA 92708 INSURER D:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MWDD/YY)
POLICY EXPIRATION
DATE 1MM/DDNY1
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
FIRE DAMAGE (Any one tire)
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS- COMP/OP AGG
$
POLICY PRO -
AUTOMOBILE AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
I $
RETENTION $
WORKERS COMPENSATION AND
TH-
WC STATU- ER
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
E.L. DISEASE- EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Professional Liability
G21656495004
07/04/07
07/04/08
Per Claim $10,000,000
B
Retroactive Date: Unlimited
Aggregate $5,000,000
Deductible $200,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS
P972 On Call Professional Electrical and Instrumentation Engineering Svcs
Carollo Project #: 7258X.XX.
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION 10 Days Notice for Non -Payment of Premium
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins, Colorado
DATE THEREOF, THE ISSUING INSURER WILL EVUX9WV9 MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ffJrA =ff1 G[DVXXVJ9=X
James B. O'Neill
215 N. Mason St., 2nd Floor
XMIXOM 5XW=X4� MWU9 A�REMYX` g=5KX
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AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80522-0580
USA
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ACORD 25-S (7/97) SandiM 0 ACORD CORPORATION 1988
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